| NPI | 1609847417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34001873) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-05-20 |